Frontier Area Rural Mental Health Camp and Mentorship Program (FARM CAMP)
- Need: To reduce the shortage of behavioral health professionals in rural Nebraska.
- Intervention: A week-long camp teaches high school students in rural and tribal communities about different career options in behavioral health and provides mentorship after the camp ends.
- Results: In 2019, 13 high school students participated in the camp, with six alumni returning. Eight students attended the camps in 2018, with four alumni returning. Many camp participants talk about their positive experiences with younger students.
In Nebraska, 88 out of 93 counties are Health Professional Shortage Areas (HPSAs) in mental health, with four additional counties that are partially covered by shortage areas. One program has been working since 2013 to encourage local students to pursue a career in behavioral health and help reduce this shortage.
The Frontier Area Rural Mental Health Camp and Mentorship Program (FARM CAMP) is a free camp that encourages high school students to pursue careers as psychologists, social workers, substance abuse counselors, and other behavioral health occupations.
FARM CAMP has taken place in the rural communities of Rushville and Winnebago, which is on the Winnebago Indian Reservation.
The program is partly funded by the Behavioral Health Education Center of Nebraska (BHECN).
Rural high school students spend a week taking a college-credit class, which covers topics such as mental health, psychology, substance use disorders, and ethics. Students also learn more about their local/Native culture and ways to incorporate cultural competency into care. Behavioral health professionals educate the students on career options and share their experiences.
Each participant is tasked with designing a community project to address a need that they see in their own rural community. On the final day, students present their projects to one another and obtain additional feedback and ideas. At the end of the Winnebago camp, students additionally met with the Tribal Council to pitch community improvement ideas.
FARM CAMP organizers also mentor these students and stay in touch after camp ends. Mentoring offers career counseling and overall support, especially to students struggling at home or in school.
In 2019, 13 high school students from rural Broadwater, Chadron, Gordon, Rushville, and Sidney participated in the camp. Six alumni from earlier camps also returned to participate again and/or mentor new students.
In 2018, 8 high school students from rural Sidney, Chadron, Rushville, Bridgeport, Valentine, Howells, and Dodge attended the Rushville camp, with four FARM CAMP alumni returning. In 2017, 11 students attended the Rushville camp. Theatre students from Chadron State College (CSC) acted as patients so students could practice identifying and working with different behaviors.
The Winnebago camp did not take place in 2018 or 2019 but received the following numbers of students in past years:
- 2015 camp: 9 students
- 2016 camp: 7 students
- 2017 camp: 4 students
Rural Nebraska is a large geographic area, so one challenge early on was reaching students. Simply sending out information to guidance counselors was not as effective as in-person presentations by staff. Word of mouth has been a very effective recruiting tool. Past participants tend to speak highly of the experience to younger students in their communities.
Another barrier is financial. It's important to run the camp at no cost to students, due to the high poverty levels of these rural communities. Costs associated with lodging, meals, college credit, supplies, and activities can be high for a week-long event. This barrier has been addressed through collaborative efforts with BHECN, CSC, and a number of community agencies that provide donations to support the camp.
Demands on staff's time is another challenge, as staff typically work 12 to 14 hours each day of camp.
Run the first camp(s) with a local provider, and then turn it over to local staff. This is a useful strategy, as there is a sharp learning curve the first year. Local leadership is important to keep local investment high.
American Indians, Alaska Natives, and Native Hawaiians
Behavioral health workforce
Health workforce pipeline
July 19, 2018
Date updated or reviewed
August 15, 2019
Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.